1458 (2) a00-7 V.Y ' L-I\C���l�� " 3 LOT NO.
NO. STREET
PLUMBING PERMIT .
AR 22 190L �,CUPERTINO
Date1951— Permit No.
�- CITY OF CUPERTINO Fee $ I s 5 o
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
8 Use of Premises ' /T
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Oa ne P�E�/ Nam E-S Addres ' CA6419R x`14 c
By( tll — �n e yt4 Address 6 6 2
CONTRACTOR, AGENT tl
Approved
PLUMBING INSPECTO
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Cupertino Sanitary
Office Copy
.,BUILDING INSPECTOR'S :OFFICE
CITY OP CUPERTINO
❑ Sewer. Connection - Sanitary Permit No. ....pf„ Q?Q^......
C2iPlumbing Final Plumbing Permit No. ..... 1,IL.�..� Q
e .. .. >� Lot No. -
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Owner or Tenant .... ... .. .. " - -_ .
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Tract -------------- '----.._.... .. ..
Date Connected ..... --".............:.. � .... - ..._........_.... - '-- 19G/7.�c-
DateFinal .................-....._...... ..........
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--� .U6INING INSPGC'I'OA
lll 1/60-500 C/ .